Individual provider Active NPI

Adeeti Gupta, MD

  • Gynecology Physician
  • Middle Village, NY
National Provider Identifier
1023271004
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
265081 Issued in NY
Practice address
7001 Metropolitan Ave
Middle Village, NY 11379-2191
Phone
(917) 410-6905
Fax
(646) 878-6095
NPI assigned
Jul 9, 2008
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 265081 NY Primary
Obstetrics Physician 207VX0000X 265081 NY

Addresses

Primary practice location

7001 Metropolitan Ave
Middle Village, NY 11379-2191

Mailing address

Adeeti Gupta Physician PC
66-83 70TH Street
Middle Village, NY 11379
Phone (718) 898-1170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081224000036 NY Practitioner - Obstetrics/Gynecology 4385706431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walk in GYN Care PCGroup PAC ID 9830509322, 5 clinicians

Practice addresses (Care Compare)

200 W 57TH St
Suite 307
New York, NY 10019-3211
Phone (917) 410-6905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
265081NYMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walk in Womens Gynecology PLLC CurrentSince Jan 26, 2022 Accepting new patients
Walk in GYN Care, PC Gynecology CurrentSince May 2, 2014 Accepting new patients
Madonna Physicians Services PC Past Accepting new patients
Walk in GYN Care P C Gynecology PastSince Jan 31, 2022 Accepting new patients
Adeeti Gupta Physician PC PastSince Nov 20, 2024 Accepting new patients
Elite Medical Services,PLLC Gynecology PastSince Aug 26, 2009 Accepting new patients

Locations

535 Clinton Ave
Brooklyn, NY 11238
Phone (917) 410-6905

18901 Northern Blvd
Flushing, NY 11358
Phone (718) 261-9300

7001 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 440-9637

200 W 57th St
Ste 307
New York, NY 10019
Phone (917) 410-6905

200 W 57th St
Ste 608
New York, NY 10019
Phone (212) 581-4488

5 Coddington Ave
Staten Island, NY 10306
Phone (718) 351-1350

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: agupta67313@northwell.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/13953/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1023271004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ADEETI GUPTA PHYSICIAN PC",
            "address_2": "66-83 70TH STREET",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "11379",
            "telephone_number": "718-898-1170",
            "fax_number": "718-898-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792191",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "ADEETI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "265081",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "265081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

Verify at the official NPI Registry.